Evidence map›Paper›PMID 39821434›Full record

ArticlePsychiatry and clinical neurosciences2025

Neuropsychiatric symptoms and neuroimaging-based brain age in mild cognitive impairment and early dementia: A multicenter study.

Daichi Sone, Iman Beheshti, Kenji Tagai, Hiroshi Kameyama, Emi Takasaki, Tetsuo Kashibayashi, Ryuichi Takahashi, Kazunari Ishii, Hideki Kanemoto, Manabu Ikeda and 3 more

Abstract readMulticenter Study
In one paragraph

Article in Psychiatry and clinical neurosciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Toward Precision Neuropsychiatry of Dementia: Neuropsychiatric Symptoms as Multidimensional Clinical Phenotypes.Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society · 2026
    Review
  3. [Research progress on intelligent brain age prediction methods in diagnosis of Parkinson's disease].Sheng wu yi xue gong cheng xue za zhi = Journal of biomedical engineering = Shengwu yixue gongchengxue zazhi · 2026
    Review
  4. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Daichi SoneDepartment of Psychiatry, Jikei University School of Medicine, Tokyo, Japan.ORCID https://orcid.org/0000-0001-9617-706X
Iman BeheshtiDepartment of Human Anatomy and Cell Science, Rady Faculty of Health Sciences, Max Rady College of Medicine, University of Manitoba, Winnipeg, Manitoba, Canada.
Kenji TagaiDepartment of Psychiatry, Jikei University School of Medicine, Tokyo, Japan.
Hiroshi KameyamaDepartment of Psychiatry, Jikei University School of Medicine, Tokyo, Japan.
Emi TakasakiDepartment of Psychiatry, Jikei University School of Medicine, Tokyo, Japan.
Tetsuo KashibayashiNishi-Harima Dementia-Related Disease Medical Center, Hyogo Prefectural Rehabilitation Hospital at Nishi-Harima, Tatsuno, Japan.
Ryuichi TakahashiNishi-Harima Dementia-Related Disease Medical Center, Hyogo Prefectural Rehabilitation Hospital at Nishi-Harima, Tatsuno, Japan.
Kazunari IshiiDepartment of Radiology, Kindai University Faculty of Medicine, Osaka, Japan.
Hideki KanemotoDepartment of Psychiatry, Osaka University Graduate School of Medicine, Osaka, Japan.ORCID https://orcid.org/0000-0003-3662-1469
Manabu IkedaDepartment of Psychiatry, Osaka University Graduate School of Medicine, Osaka, Japan.
Masahiro ShigetaDepartment of Psychiatry, Jikei University School of Medicine, Tokyo, Japan.
Shunichiro ShinagawaDepartment of Psychiatry, Jikei University School of Medicine, Tokyo, Japan.ORCID https://orcid.org/0000-0002-5952-6141
Hiroaki KazuiDepartment of Neuropsychiatry, Kochi Medical School, Kochi University, Kochi, Japan.

Funding

Japan Agency for Medical Research and Development JP15km0908001Japan Agency for Medical Research and Development JP21dk0207056Japan Society for the Promotion of Science 24K10690
6 · The paper itself

Abstract

aimDespite the clinical importance and significant social burden of neuropsychiatric symptoms (NPS) in dementia, the underlying neurobiological mechanism remains poorly understood. Recently, neuroimaging-derived brain-age estimation by machine-learning analysis has shown promise as an individual-level biomarker. We investigated the relationship between NPS and brain-age in amnestic mild cognitive impairment (MCI) and early dementia.

methodsIn this cross-sectional study, clinical data, including neuropsychiatric inventory (NPI), and structural brain MRI of 499 individuals with clinical diagnoses of amnestic MCI (n = 185), early Alzheimer's disease (AD) (n = 258) or dementia with Lewy bodies (DLB) (n = 56) were analyzed. We established a brain-age prediction model using 694 healthy brain MRIs and a support vector regression model and applied it to the participants' data. Finally, the brain-predicted age difference (brain-PAD: predicted age minus chronological age) was calculated.

resultsAll groups showed significantly increased brain-PAD, and the median (IQR) brain-PAD was 4.3 (5.4) years in MCI, 6.3 (6.2) years in AD, and 5.0 (6.5) years in DLB. The NPI scores were subdivided into the following four categories: (i) Agitation and Irritability, (ii) Depression and Apathy, (iii) Delusions and Hallucinations, and (iv) Euphoria and Disinhibition. We found a significantly positive correlation between brain-PAD and the depression/apathy factor (Spearman's rs = 0.156, FDR-corrected P = 0.002), whereas no significance was shown for the other NPS factors.

conclusionHigher brain-age may be associated with depression and apathy symptoms presented in MCI to early dementia stages, and brain-age analysis may be useful as a novel biomarker for the assessment or monitoring of NPS.

Indexed as

AgingAlzheimer DiseaseBrainCognitive DysfunctionLewy Body DiseaseAgedAged, 80 and overApathyCross-Sectional StudiesFemaleHumansMachine LearningMagnetic Resonance ImagingMaleMiddle AgedNeuroimagingdementiamachine learningmagnetic resonance imagingmild cognitive impairmentneuropsychiatric symptoms

Identifiers

PMID39821434
PMCPMC11962355

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.